NPIMap

Organization Active NPI

Ephraim McDowell Regional Medical Center Incorporated

Doing business as Ephraim McDowell Regional Medical Center Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Danville, KY
National Provider Identifier
1306922018
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06491 Issued in KY
Legal business name
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED
Doing business as
Ephraim McDowell Regional Medical Center Outpatient Pharmacy
Practice address
217 South Third Street
Outpatient Pharmacy
Danville, KY 40422
Phone
(859) 239-1706
Fax
(859) 239-6759
NPI assigned
Oct 27, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
EPNHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah B Vickey, PHARM.D.NPI 1366574634
Title
Pharmacy Manager
Phone
(589) 239-1706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Community/Retail Pharmacy 3336C0003X P06491 KY Primary

Addresses

Primary practice location

217 South Third Street
Outpatient Pharmacy
Danville, KY 40422

Mailing address

217 South Third Street
Outpatient Pharmacy
Danville, KY 40422
Phone (859) 239-1706

Other identifiers 3

IdentifierTypeStateIssuer
5403145500MedicaidKY
P06491OtherKYPHARMACY LICENSE
1814474OtherNABP

Other names 1

  • Ephraim McDowell Regional Medical Center Outpatient Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130925000571 KY DME Supplier - PharmacyDME Supplier - Hospital 3375506447 Practice locations: Danville, KY
O20131213000171 KY Part B Supplier - Mass Immunization (Roster Biller Only) 3375506447 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, KY

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
McDowell Medsource14 organizations share this tax ID, including this one
Part of
McDowell Medsource

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1306922018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SOUTH THIRD STREET",
            "address_2": "OUTPATIENT PHARMACY",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "40422",
            "telephone_number": "859-239-1706",
            "fax_number": "859-239-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SOUTH THIRD STREET",
            "address_2": "OUTPATIENT PHARMACY",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "40422",
            "telephone_number": "859-239-1706",
            "fax_number": "859-239-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPNHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "VICKEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "589-239-1706",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5403145500",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "P06491",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1814474",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ephraim McDowell Regional Medical Center Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.